16365 SW MEADOWOOD WAY-1 ,,NI a00M0aa3W NIS 59£96
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16365 SWO MEADOWOOD WY
city OF TIGARD BUILDING INSP'EC'TION DIVISION MST
24-Hour Inspe;tion Line: 539-4175 Boisiness Line: 639-4171
XII SUP _
Date Requested - 2— -AM __PM BLD _k
Location G 4-�� 5�.,• 177 of 4-!43 Suite MEC --
Contact Person h11lu Ph S,Z3-�/3! -Z U/La, PLM
Contractor -_�- _ Ph SWR
BUILDING Tenant/Owner RTula c4t/ Av'-�4j ELC
Retaining Wall ELR _
vooting Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN ----- -
Slab -_ �- SIT
Post&Beam ---------
Ext Sheath/Shear
Int Sheath/Shear ^----" - -
Framing
Insulation --� -'
Drywall Mailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling L i9t rile Cif '"
Roof,
Mise:
F .01
PA /
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final -
P RT FAIL
Pas m ----- -_.
Rough In
Gas Line ----- -- ----- — --
Smoke Dampers
PART FAIL
ftSMe"11CAL —
n. Service
Roughln
~ UG/Slab
Low Voltage
Fire Alam
Final
W PASS PART FAIL
a
w SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection tee of; _ renuir^,.before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line f J Please call for reinspection RF 1� [ J Unable to Inspect-no access
ADA
Approach/Sidewalk Date -Inspector Ext -
Final Other
Final
PASS PART FAIL DO NOT REMOW this Inspection record from the job site.
CITY OF TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC200100027
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 1/23/01
PARCEL: 2S1 14BA-09900
SITE ADDRESS- 16365 SW MEADOWOOD WAY
SUBDIVISION: COPPER CREEK STAGE 2 ZONING: R-4.5
BLOCK: LOT:052 JURISDICTION: TIG
CLAS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT"FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HAMDLING UNITS OTHER UNITS.
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace ga 'urnace with like kind.
Owner: _ FEES
MIKE STEVENS Type By Date Amount _ Receipt
16365 SW MEADOWOOD WAY PRMT CTR 1/23/01 $72.50 2720010000
TIGARD, OR 97224 5PCT CTR 1113/01 $5.80 2720010000
Total $78.30
Phone:
Contractor.
SPECIAL;`' HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 _ REQUIRED INSPECTIONS
Heating Unt Insp
Phone:620-5643 Final Inspection
Reg#:SUP 2570RET
LIC 006657
ELE 34-341 CR
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c7 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Wa Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
Youay obtain copies of-V71lesor direct questions to OUNC by calling (503)2461-9189.
/ �Isau By: Permittee Signature:
Call( 3)639-4175 by 7:00 P.M.fur Inspections needed the next business day
~ Mechanical Permit Application
Date received:/- D Permit ne
City Of 'Tigard Project/appl.no.: Expire date:
City q(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By: 1 Rec6vt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ Building permit no.: `
1XI &2 family dwelling or accessory ❑Comm crcWhridustrial ❑Multi-family U Tenant improvement
U New construction W(Aclditio-'dteration/replacement U Other: _
1
Job address: 3 , /owQ, ! ! y indicate equipment quantities in boxes below.Indicatc the dollar
Bldg.no.: I Suite no.: ^` value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account ro.: profit. Value S
Lot: Block: Subdivision: 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: Q 7o;1-
De ription and location of work on premises: ��Ca tall"M_
Fee(ro.) Total
st.date of completion inspection: -1 �ikrerlptloa Qty. Res.unly Rn.on!
Tenant improvement or change of use:
Is existing space heated or con 'tionedj� YAir handling urit CFM
�es ❑No Ancon rtxmfng(ane-Tan requtr'recT-
Is existing space insulated? Yes U No A ter auon o extsun� �syst`eiil -'
of er%compressors
Business In State boiler hermit no.:
NP Tons BTU/11 E (l'1 s f a smo edam3ersIduct smoke detectors
City. , State:O 41 ZIP:9 4v1 VL 3 Heat pump site pan require ) "-
Faxsq� 7/ E-mail: nsta rep ace umac umer
CCB no.:
Phone _ I ee15 T Ff'Ey/ Including ductwork/vent liner U Yes U No
�;� nsta rep ac re ovate healers-suspen e ,
City/metro lic.no.: wall,or floor mounted
Name(please print): r {z15 Vent
ora tante ofher an furnace
e gerat on:
Absorption units BTU/H
Name: Thi L ze /Y/y, �rt 7 Chillers HP
Address: .5,_ $ u W_ / �S'T Co mssors HP
City: tf Stn e:Q Z[p; !� 7oL}.� n roemema ea asst an ventilation-
City:
ent at on:
Appliance vent _
Phone- 3 6.Jo-sep qJ Fax:5g'01l$'I E-mail: I Dryerex
Hoods,Type res. nc a azmat—
hood fire suppression system
Name: _ Exhaust fan with single.iuct(bath fans)
N1 ailing addre;s: (p 5 J �,0U
Q G./OCa .x auris ste_m�a{rart�rnm- t�e n or C
IL City: a 1 State:OZIP: 4�f J S/ ase Ard d piping ssttri;oid oT a(up to outlets)
Ty LPC. NG Oil _
H Phone: Y Fax: E-mail: Fuel piping each additional over out ets
U) Processpiping(sc ematicrequirc )
Name: Number of outlets
t er Killed appliance or equ pment:
Address: _ Decorative f ireplace
City: State: ZIP: nsert-type -�
W Phone: ax: E-mail; oo stov pe et stove
J (hher.
Applicant's signnture:
Name (print): to
Not all-i.nhovi accept credit cards.please call junsdiction for more information. Permit fee.....................$
Notice:This permit application Minimum fee................$
O visa �.2�IasterCard expires if a per-nit is not obtained
L�__ Plan review(at _ %) $
Credit card number: �________ -- __ ws after it has been
r'pir°r ithin I80 days State surcharge(8%)....$
Name of cardholder ns shown on credit card accepted as complete.
_ s TOTAL .......................$
Cardholder signature Amount 440.4617(&MCOM)
Commercial Schedule
182 Family Dwelling Schedule
ASSUMED VALUATIONS PER APPLIANCE
Description
Furnace to 100,000 BTU +t4� Table 1A Mechanical code _ ay Prloe Tour
including ducts&vents 955 1) rumsce to 100000 BTU
indWxtg duAs 4 verb 1 .00
Furnace> 100,000 BTU 2) Furnace 100.000 Brur '-
ht"!N ducts 6 vents 17 e0
in
1,170 ducts b vents 1,170 3) Floorr,rmane
floor furnaceMOCIudu vem 1400
a) Suspendad hasler,wallheate,i
inrauding vent 935 or fox mewled healer 1400
suspended heater,wall heat£ s vam na included in rtrme 680---
or
eoor floor mounted heater 955 d ,<t.ands 12 15
Vent not Included in appliance permit 445 chew all!hat apply •envier treat Ax
PP For Nems 7.10,sea or Pump Cond Oty Pripet Twal
Repair units 805 '1.2 " -
7)<3HP,absorb unit to
<3 hp;absorb.unit IODK BTU _ 4.00 _
P�abs
to 100k BTU 955 elx)k to 500k BTU urea 2s.e0
3-15 hp;absorb.unit 9)15.30 HP;ataorb
unx.6-1 m0 BTU __ 32.00
101k to 500k BTU t 700 10)30-rG HP.absorb ti
unk 11,75 mil BTU t 52_20
15-30 hp;absorb.unit I t i'SOHP absom unx s 175 mtl 0TU
501k to 1 mil.BT!1 _ 2310 12)r.tr'h,rlefinq unit to 10.000 crab e7 20
30-50 hp;absorb.unit 10.00 _
13)Air handling unit 10,000 CFM _
1-1.75 mil.BTU 3400 17.20
>50 hp;absorb.unit 14)Non-ponablo evaporate cooler
10.00
> 1.75 mil.BTU 572.5 15)vent len Connected to a sxgle duct-
6.00
Air handling unit to 10,000 cfm 656 is)Ventilation system na Wuded in
Air handling unit� 10,000 cfm 1170 spipa"0ed bna 10.00
17)Mood served Y merhenlral exhaust
Non-portable evaporate ooller 656 - -- WOO
-� ta)t)mresi+c incinerators
vent fan connected to a single duct _ 448 17.40
19)(,orrmerdal or Industrial type Incinerate
Vent syst.not Included In appliance permit 656 e9.9s
Hood served by mechanical exhaust 656 20)Other unx-,rncWing wood stoves
�- 10.00
Domestic Incinerator 1170 21)pas piping one to x owlets
Commercial or Industral Incinerator 4590 22)Mom than,.per WW(loch)
Other unit,includingwood stoves,Inserts,etc. 656 1.00
M+nimurn PertnH Fee(72.60 SUBTOTAL
Gas piping 1-4 outlets _ 360 ex suacHAROE
Each additional outlet 63 PLAN RMEW 25%OF SUBTOTAL
Required for ALL commerelal pem Ks only r
TOTAL
OMw Inapectleas and Fees:
1 duped~eulslde of F,1W tMlalnefa hove rrnlr*r m CIsrge4wr+104011)
1172 50 Per taw
7 kl> e: AP'wMkh M tab n specduak WvtKlhnt(rtxnf'arT Charge4isa Kral
172.50 Per hew
Total Valuation (4e a Adda,on"Plan renew'.'and br r/wger.adMms W rtvhtons to&m I"Ynnsnn
dw."xr7haa tour)272.50 per hour
------- •slate Centra w 9.6.CWW4W on'.'W d
$I-00 to$5,000.00 Minimum$72.50 r "'C"0'""'W 011#121400" PI-1 rA M"
M
N1 S5,001.00 to Sl 0,000.00 $72.50 for the first 55,000.00 and S I.52 for
each additional S100.00 or fraction thereof,
to and including S 10,000.00
m S 10,001.00 to S25,000.00 S148.50 for the first S10.000.00 and S I.54
Wfor each additional S 100.00 or fraction
J 1 thereof,to and including 525,000.00
$25,001.00 to$50,000.00 $379.50 for the first S25,000.00 and 51.45
for each additional S 100.00 or fraction
thereof,to and including 550,000.00
S50,000.00 and up $742.00 for the first 550,000.00 and$1.20
for each additional 5100.00 or fraction
thereof